Laura Lee Christine Ganske C.O.T.A

NPI 1194029918 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1194029918
Gender Female
Enumeration Date 01/09/2011
Last Updated 12/11/2015
Entity Type Individual
Active Over 6 years ago
Practice Location
2915 N MEADE ST
APPLETON WI, 54911-1509, US
Phone (920) 993-6800
Fax
Business Location
2915 N MEADE ST,
APPLETON WI, 54911, US
Phone (920) 993-6800
Fax (262) 484-4445
Toxanomy
Taxonomy Code 224Z00000X
License State Illinois
License Number 057.003319
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According to our database, Ms. Laura Lee Christine Ganske C.O.T.A NPI is 1194029918, taxonomy code is 224Z00000X and license number is 057.003319, license state is located at Illinois. Laura Lee Christine Ganske C.O.T.A physically located at 2915 N Meade St, Appleton WI, 54911-1509. NPI Number Laura Lee Christine Ganske C.O.T.A has the Individual type.

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1194029918 NPI number is provided on an as is basis without warranty of any kind. 1194029918 is maintained by the National Plan & Provider Enumeration System. The contents of Laura Lee Christine Ganske C.O.T.A are for informational purposes only.